EBONY DELSHUN PORTER

CLARKSVILLE, TN
NPI1467672816
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: TN  4379)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: NC  6161)
225X00000X Occupational Therapist
(Licence: TX  111446)
Enumeration Date2007-04-26
Last Update Date2011-08-26
Business Address
Mrs. EBONY DELSHUN PORTER
900 PROFESSIONAL PARK DR
CLARKSVILLE, TN 37040-5244
Phone number: 931-552-3002
Mailing Address
Mrs. EBONY DELSHUN PORTER
3426 OLD TIMBER RD
CLARKSVILLE, TN 37042-9513
Phone number: 214-364-6155